NPI 1386066645 · live from the CMS NPI Registry
Sara Grandy, RD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1386066645, active.
NPI record
| NPI | 1386066645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4420 Irving Blvd Nw, Albuquerque, NM 87114 |
| Practice phone | 505-727-2790 |
| Enumerated | January 6, 2014 |
| Last updated | February 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.